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LEAD-BASED PAINT SELLER’S DISCLOSURE FORM

LEAD-BASED PAINT SELLER S DISCLOSURE FORM_____Street Address City, Village, Township StateLead Warning StatementEvery purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from LEAD-BASED PAINT that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage,including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory.

LEAD-BASED PAINT SELLER’S DISCLOSURE FORM _____ Street Address City, Village, Township State

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